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;N .JOAQUIN COUNTY PUBLIC H . ^ ' TH SERVICES <br /> NVTRONMENTAL HEALTH DIVT � Report 65255 <br /> 04 E WEBER AVENUE — 3RD O0R SAA R t Printed : 05/20/99 <br /> ;TOCKTON , CA 95202 <br /> ccountin9 Office : 209 468-3420 <br /> "I"0 : CHAMPION <br /> 1301 N L Account # 0018053 <br /> PRINCETON , IL61356 <br /> 'TTN : CAMILLO ( CAM ) VALLE <br /> Facility ID 011053 <br /> CHAMPION <br /> 220 VANDERBILT CIP. <br /> SANTECA <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Description <br /> Mrs Employee Amount <br /> voice # 058153 -- Date of Invoice : 05/18/99 <br /> /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> X18 . 541 <br /> Total for this invoice: 18 . 50 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06/ 9 <br /> Invoice # 060363 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN t5 TONS/YR <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1OO .X10 . 0000 <br /> Total for this invoice : $110L99 <br /> Payment DUE OAT 0 0 <br /> If this INVOICE has been Paid, Please Oisregard this Notice <br /> JUIN 16 1999 <br /> £NVIHONMENTA!`tiryg <br /> For all SERVICE FEES penalties will <br /> Penalties will he added on all Permits be added at the rate of 108 60 days <br /> at the rate of 1008 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: 11 $128 . 50 <br /> Please make Checks PAYABLE to : PHS/EHD <br />